Mhlawumbi usandula ukufika ekhaya uvela kutyando olukhulu. Mhlawumbi uzive ukhululekile kwaye ukhululekile. Kodwa ngaba ugqirha ukuxelele ngento efana ne-'endoleak'? Okanye ngaba ukuxelele ukuba into efana naleyo inokwenzeka xa uza kuhlolwa kwixesha elizayo? Kuqhelekile ukuziva usoyika kwaye ukhathazekile xa usiva eli gama. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngayo ngokulula, ukuba yintoni, kutheni isenzeka, kwaye nokuba kufuneka woyike na.
Kalula nje, yintoni le endoleak?
Ukuze sikuqonde oku, masiqale sikukhumbuze kancinci ngotyando owalwenzayo. Umthambo wegazi omkhulu emzimbeni wethu, i-aorta, ufana nombhobho wamanzi ophambili endlwini yethu. Ngamanye amaxesha, indawo eludongeni lwalo mthambo iba buthathaka kwaye ivuthuluke njengebhaluni. Yiloo nto siyibiza ngokuba yi-
aneurysm . Ngenxa yokuba oku kunokuba yingozi, oogqirha bafaka umthambo wegazi owenziweyo, obizwa ngokuba
yi-stent graft, kwi-bulge. Cinga ngayo njengokufaka ityhubhu entsha, enamandla ngetyhubhu yamanzi endala, ebuthathaka. Ngoku igazi lihamba kuphela nge-stent entsha efakiweyo. Emva koko, akukho xinzelelo eludongeni oludala, olubuthathaka, ngoko akukho mngcipheko wokuba luqhume. Kodwa, emva
kwexesha elifutshane kakhulu, igazi elincinci liqala ukuvuza phakathi kwe
-stent entsha ebekwe kunye nodonga lomthambo wegazi omdala. Kufana namanzi amancinci avuzayo avela emacaleni embhobho omtsha.
Loo mphuphu wegazi yinto esiyibiza ngokwezonyango ngokuba yi-'endoleak'. Ukuba le endoleak yenzeka kwiintsuku ezingama-30 emva kotyando, ibizwa ngokuba yi-"endoleak yokuqala." Ukuba kwenzeka emva kweentsuku ezingama-30, kuthiwa yi-"late endoleak".
Ngaba oku kuyenzeka kubantu abaninzi? Ngaba yinto ekufuneka uyoyike?
Enyanisweni,
malunga nomntu omnye kwabane abenza olu hlobo lotyando lokulungisa i-aneurysm (njenge-EVAR okanye i-TEVAR) banethuba lokufumana le endoleak. Ngoko ke ayiqhelekanga kangako. Kodwa into ebalulekileyo kukuba,
ayizizo zonke ii-endoleak eziyingozi. Ezinye iintlobo ze-endoleaks ziya kuba bhetele zodwa kwiinyanga ezimbalwa ngaphandle konyango. Ugqirha uza kuyijonga nje ngeeskeni . Nangona kunjalo, ezinye iintlobo ziyingozi ngakumbi. Zinokubangela ukuba i -aneurysm ikhule kwakhona kwaye yonyuse uxinzelelo, ngoko ke kufuneka zinyangwe ngokukhawuleza.
Ngoko ke, ubunzima bumiselwa luhlobo kunye nendawo okuyo.
Ziziphi iintlobo eziphambili zee-endoleaks?
Kukho iintlobo ezi-5 eziphambili ze-endoleaks. Nganye yazo inesizathu esahlukileyo. Ngoku, ngokufika kwetekhnoloji entsha ye-stent, ukwanda kwezinye iintlobo kuye kwehla kakhulu. Makhe sijonge ukuba zeziphi ezi ntlobo.
| Uhlobo lwe-Endolek | Kunjani? (Kalula nje) | Ubukhali |
|---|
| Uhlobo 1 | Ukuvuza kwegazi ngenxa yokuba i-stent ayingeni kakuhle eludongeni lwemithambo yegazi nokuba phezulu okanye ezantsi. | Kubi kakhulu. Kukho umngcipheko omkhulu wokuqhekeka kwe-aneurysm. Kufuneka unyango olukhawulezileyo. |
| Uhlobo 2 | Ukopha kubuyela kwi-aneurysm evela kwimithambo yegazi emincinci eqhagamshelwe kumthambo wegazi oyintloko. | Olu lolona hlobo luxhaphakileyo. Ngokuqhelekileyo alunabungozi. Malunga nama-40% eemeko ziyaphola ngokwazo kwiinyanga ezi-6. Oogqirha bayabajonga. |
| Uhlobo 3 | Ukuba i-stent yenziwe ngamacandelo amaninzi, ukuvuza kwegazi kunokwenzeka ngenxa yokwahlukana kwala macandelo mabini. | Imbi kakhulu. Njengohlobo loku-1, kukho umngcipheko wokuqhekeka. Kufuneka unyango olukhawulezileyo. |
| Uhlobo 4 | Igazi livuza ngemingxuma emincinci kakhulu kwilaphu elenziwe ngalo i-stent. | Kunqabile kakhulu. Le meko ayibonakali kwi-stents ezintsha. |
| Uhlobo 5 | Ezi scan azibonisi kuvuza kwegazi, kodwa i-aneurysm iyaqhubeka nokukhula. Ikwabizwa ngokuba yi-"endotension." | Ekubeni unobangela ungacacanga, oogqirha bajonga oku ngokusondeleyo. |
Zithini iimpawu ze-endoleak?
Nantsi eyona nto ibalulekileyo ekufuneka uyazi.
Uninzi lwexesha, awuyi kuva naziphi na iimpawu ze-endoleak. Usenokungaziva naluphi na utshintsho, iintlungu, okanye ukungonwabi. Ezi zifunyanwa ngexesha le-scan ezenziwa ngexesha
lokulandela amadinga emva kotyando. Yiyo loo nto ugqirha wakho ekuxelela ukuba uze kuzo ezo scan ngemihla abakunika yona. Musa ukuzitsiba.
Ingxamiseko! Ukuba ufumana ezi mpawu, yiya kwi-ETU ngoko nangoko!
Ukuba i-aneurysm endala
iyaqhambuka ngenxa ye-endoleak, yingxamiseko yezonyango. Ukuba ezi mpawu zilandelayo zenzeka ngequbuliso, musa ukuchitha ixesha kwaye uye
kwiSebe leeNgxamiseko lesibhedlele esikufutshane (ETU) .
Oogqirha bayibona njani le nto?
Njengoko bekutshiwo ngaphambili, oku kubonwa nge-scans ezikhethekileyo. Ezi mvavanyo zinokwenziwa ngexesha lotyando lwakho, emva kokuba lugqityiwe, kunye neenyanga okanye iminyaka kamva. Oku kungenxa yokuba ezinye ii-endoleaks ezisemva kwexesha zinokuvela emva kwexesha elithile emva kotyando. Iimvavanyo eziphambili ezisetyenziswayo zezi:
- I-CT scan (i-Computed Tomography scans): Oku kungathatha imifanekiso ecacileyo yangaphakathi lomzimba kwaye kujonge ukuvuza kwegazi.
- I-Doppler Ultrasound: Oku kungabona ukuvuza ngokujonga ipateni kunye nesantya sokuhamba kwegazi ngaphakathi kwemithambo yegazi .
- I-Angiogram: Oku kuquka ukufaka idayi ekhethekileyo kwimithambo yegazi kunye nokuthatha i-X-ray ukuze ubone apho igazi liphuma khona kanye.
Uyiphatha njani i-endoleak?
Unyango luxhomekeke kuhlobo lwe-endoleak onayo, apho ikhoyo, kunye nempilo yakho iyonke. Akukho nyango lufanayo. Kukho iindlela ezintathu eziphambili.
1. Ukuqwalasela
Oku koko kwenziwa rhoqo kwii-endoleaks ezingezizo ezinzulu ezifana nohlobo lwesibini. Ugqirha wakho uza kukucela ukuba wenze i-scan rhoqo emva kweenyanga ezi-6. Oku kuza kujonga ukuba ukuvuza kwegazi kuyaphela ngokwako na, ukuba kuhlala kufana, okanye ukuba i-aneurysm iya ikhula. Ukuba i-aneurysm ayikhuli, kungcono ungenzi nto uze ulinde.
2. Unyango lwe-Endovascular
Olu lutyando oluncinci olwenziwa ngaphandle kokusikwa okukhulu, kusetyenziswa into efana nenaliti ukugqitha emthanjeni wegazi.
- Ukugquma: Ukuvala imithambo yegazi emincinci ebangela ukopha ngohlobo oluthile lweglue okanye iingcingo ezincinci.
- Ulwandiso lwe-Stent: Ukwandisa i-stent ngokufaka elinye iqhekeza le-stent ukuze livale ukuvuza.
- Ukusebenzisa iglu: Ukuvala i-aneurysm ngokufaka into efana neglu kwindawo apho igazi livuza khona.
3. Utyando Oluvulekileyo
Oku kwenziwa rhoqo. Kuphela xa ezinye iindlela zingaphumeleli ukulungisa i-endoleak, kwaye njengenyathelo lokugqibela, kusetyenziswa utyando olukhulu olubandakanya ukunqunyulwa kwesisu.
Imibuzo omele uyibuze ugqirha wakho
Kuqhelekile ukuba nemibuzo malunga nemeko yakho. Ungathandabuzi ukubuza le mibuzo kwixesha elizayo xa ubona ugqirha wakho.
- Ziziphi ezinye iingxaki ezinokwenzeka emva kolu tyando?
- Ingakanani ingozi yam yokuba ne-endoleak?
- Ndifanele ndize kangaphi ukuze ndilandelelwe?
- Zeziphi iiskeni ekufuneka ndibe nazo?
- Ndingenza ntoni ukuze intliziyo yam kunye nemithambo yegazi zihlale ziphilile?
Ukulungisa i-aneurysm yinkqubo esindisa ubomi. Ngoko ke kuqhelekile ukuba neengxaki ezincinci ezifana nezi emva kotyando olunjalo. Uninzi lwexesha, ezi azidingi kunyangwa. Ngoku kukho unyango oluphucukileyo nolulula olufumanekayo. Ukuba uziva udiniwe okanye uxinezelekile, thetha nogqirha wakho okanye nosapho lwakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- I-Endoleak yingxaki eqhelekileyo emva kotyando lwe-aneurysm, kodwa ayisoloko iyimeko eyingozi.
- Iimeko ezininzi ze-endometritis azibonakali, ngoko qiniseka ukuba uye kuvavanyo olulandelayo njengoko ugqirha wakho ekuyalele.
- Iintlobo ze-endoleaks zohlobo 1 nolwe-3 zinzima kwaye zifuna unyango olukhawulezileyo. Iintlobo ze-endoleaks zohlobo lwesibini ezixhaphakileyo zihlala ziphela zodwa.
- Ukuba uneempawu ezifana nentlungu ebukhali yesisu/isifuba, ukuquleka, njl.njl., oko kungaba luphawu lokuqhekeka kwe -aneurysm . Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Ukuba unamathandabuzo okanye imibuzo malunga nemeko yakho, ungoyiki ukuyixoxa nogqirha wakho.
I-Endoleak, i-Aneurysm, utyando, i-Stent Graft, ukuvuza kwegazi, i-Aorta, i-EVAR, i-TEVAR, isifo sentliziyo
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